I 
119TH CONGRESS 
1ST SESSION 
H. R. 668 
To require the Secretary of Veterans Affairs to carry out a pilot program 
to coordinate, navigate, and manage care and benefits for veterans en-
rolled in both the Medicare program and the system of annual patient 
enrollment of the Department of Veterans Affairs. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 23, 2025 
Mr. CISCOMANI (for himself, Mr. DAVIS of North Carolina, and Mr. TURNER 
of Ohio) introduced the following bill; which was referred to the Com-
mittee on Veterans’ Affairs 
A BILL 
To require the Secretary of Veterans Affairs to carry out 
a pilot program to coordinate, navigate, and manage 
care and benefits for veterans enrolled in both the Medi-
care program and the system of annual patient enroll-
ment of the Department of Veterans Affairs. 
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 ‘‘Coordinating Care for 
Senior Veterans and Wounded Warriors Act’’. 
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SEC. 2. PILOT PROGRAM ON COORDINATION OF CARE BE-
TWEEN DEPARTMENT OF VETERANS AFFAIRS 
AND MEDICARE PROGRAM. 
(a) IN GENERAL.—The Secretary, in consultation 
with the Secretary of Health and Human Services, shall 
carry out a pilot program (in this section referred to as 
the ‘‘pilot program’’) to coordinate, navigate, and manage 
care and benefits for covered veterans. 
(b) PURPOSES.—The purposes of the pilot program 
are as follows: 
(1) To improve access to health care services 
for covered veterans at medical facilities of the De-
partment of Veterans Affairs, from health care pro-
viders under the Veterans Community Care Program 
under section 1703 of title 38, United States Code, 
from health care providers with which the Depart-
ment has established a Veterans Care Agreement 
under section 1703A of such title, and from health 
care providers participating in the Medicare program 
under title XVIII of the Social Security Act (42 
U.S.C. 1395 et seq.). 
(2) To improve outcomes of care received by 
covered veterans. 
(3) To improve quality of care received by cov-
ered veterans. 
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(4) To lower costs of care received by covered 
veterans. 
(5) To eliminate gaps in care and duplication of 
services and expenses for covered veterans. 
(6) To improve care coordination for covered 
veterans, including coordination of patient informa-
tion and medical records between providers. 
(c) ADMINISTRATION.— 
(1) IN
GENERAL.—The Secretary shall carry 
out the pilot program through the Center for Inno-
vation for Care and Payment of the Department of 
Veterans Affairs. 
(2) LOCATIONS.—The Secretary shall carry out 
the pilot program in not less than three but not 
more than five Veterans Integrated Service Net-
works with a large number of covered veterans and 
varying degrees of urbanization, including— 
(A) locations that are in rural or highly 
rural areas, as determined through the use of 
the Rural-Urban Commuting Areas coding sys-
tem of the Department of Agriculture; and 
(B) locations that are medically under-
served. 
(d) CASE MANAGER.— 
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(1) ASSIGNMENT OF CASE MANAGER.—In car-
rying out the pilot program, the Secretary shall as-
sign each covered veteran participating in the pilot 
program a case manager responsible for developing 
an individualized needs assessment for such veteran 
and, based on such assessment, a care coordination 
plan with defined treatment goals. 
(2) ACCESSING SERVICES.—A case manager as-
signed to a covered veteran under paragraph (1) is 
responsible for assisting such veteran in accessing 
services needed by such veteran and navigating the 
systems of care under the laws administered by the 
Secretary and under the Medicare program under 
title XVIII of the Social Security Act (42 U.S.C. 
1395 et seq.). 
(e) USE OF EXISTING MODELS.—In designing the 
pilot program, the Secretary shall, to the extent prac-
ticable, use existing models, including value-based care 
models, used by commercial health care programs to im-
prove access, health outcomes, quality, and customer expe-
rience and lower per capita costs. 
(f) CONTRACTING WITH PRIVATE SECTOR ENTI-
TIES.— 
(1) IN GENERAL.—The Secretary shall, to the 
greatest extent practicable, contract with private sec-
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tor entities carrying out commercial health care pro-
grams for assistance in designing, implementing, 
and managing care and benefits under the pilot pro-
gram, to include providing care coordination. 
(2) NOTIFICATION.—If the Secretary deter-
mines that contracting with private sector entities 
under paragraph (1) is not practicable, the Sec-
retary shall submit to the Committee on Veterans’ 
Affairs of the Senate and the Committee on Vet-
erans’ Affairs of the House of Representatives— 
(A) a notification of that determination; 
(B) a description of the steps the Secretary 
has taken to contract with a private sector enti-
ty; 
(C) a justification for why the Secretary 
has determined that contracting with a private 
sector entity is not practicable; and 
(D) a plan for how the Secretary will carry 
out the pilot program without contracting with 
a private sector entity, including through the 
use of employees of the Department of Veterans 
Affairs or other government agencies, nonprofit 
organizations, or other entities. 
(g) METRICS.— 
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(1) IN
GENERAL.—The Secretary shall track 
metrics under the pilot program, including the fol-
lowing: 
(A) The number of veterans participating 
in the pilot program, disaggregated by Veterans 
Integrated Service Network. 
(B) Reliance on health care services ad-
ministered by the Secretary. 
(C) Reliance on health care services admin-
istered under the Medicare program under title 
XVIII of the Social Security Act (42 U.S.C. 
1395 et seq.). 
(D) Quality of care, including patient out-
comes. 
(E) Cost of care. 
(F) Access to care, including under the 
designated access standards developed by the 
Secretary under section 1703B of title 38, 
United States Code. 
(G) Patient satisfaction. 
(H) Provider satisfaction. 
(I) Care coordination, including timely in-
formation sharing and medical documentation 
return. 
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(2) ELEMENTS.—In tracking metrics under 
paragraph (1), the Secretary shall track information 
relating to— 
(A) whether care received by a covered vet-
eran is related to a service-connected disability 
(as defined in section 101 of title 38, United 
States Code); 
(B) the priority group under section 
1705(a) of title 38, United States Code, 
through which each covered veteran was en-
rolled in the system of annual patient enroll-
ment of the Department of Veterans Affairs 
under such section; 
(C) the type of care and services provided 
to covered veterans; and 
(D) the demographics of covered veterans 
participating in the pilot program, including 
age. 
(h) DURATION.—The Secretary shall carry out the 
pilot program for a three-year period beginning on the 
commencement of the pilot program. 
(i) REPORTS.— 
(1) DEVELOPMENT, 
IMPLEMENTATION, 
RE-
SULTS, AND DESIGN OF PILOT PROGRAM.— 
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(A) IN
GENERAL.—Not less frequently 
than quarterly during the two-year period be-
ginning on the date of the enactment of this 
Act, the Secretary shall submit to the Com-
mittee on Veterans’ Affairs of the Senate and 
the Committee on Veterans’ Affairs of the 
House of Representatives a report on the devel-
opment, implementation, results, and design of 
the pilot program, including information on the 
metrics tracked under subsection (g). 
(B) FINAL DESIGN.—One of the reports 
required under subparagraph (A) shall contain 
a description of the final design of the pilot pro-
gram. 
(2) RESULTS OF PILOT PROGRAM.—Not later 
than one year after the submission of the final re-
port under paragraph (1), and not less frequently 
than annually thereafter during the duration of the 
pilot program, the Secretary shall submit to the 
Committee on Veterans’ Affairs of the Senate and 
the Committee on Veterans’ Affairs of the House of 
Representatives a report on the results of the pilot 
program. 
(3) FINAL REPORT.—Not later than 180 days 
before the termination of the pilot program, the Sec-
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retary shall submit to the Committee on Veterans’ 
Affairs of the Senate and the Committee on Vet-
erans’ Affairs of the House of Representatives a 
final report on the pilot program, which shall include 
the recommendation of the Secretary for whether the 
pilot program should be extended or made perma-
nent. 
(j) DEFINITIONS.—In this section: 
(1) COVERED
VETERAN.—The term ‘‘covered 
veteran’’ means a veteran who is enrolled in both the 
Medicare program under title XVIII of the Social 
Security Act (42 U.S.C. 1395 et seq.) and the sys-
tem of annual patient enrollment of the Department 
of Veterans Affairs under section 1705(a) of title 
38, United States Code. 
(2) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Veterans Affairs. 
Æ 
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