I 
119TH CONGRESS 
1ST SESSION H. R. 1644 
To amend title 38, United States Code, to eliminate copayments by the 
Department of Veterans Affairs for medicines relating to preventive 
health services, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 27, 2025 
Ms. UNDERWOOD (for herself, Mr. MOULTON, Mrs. HAYES, and Ms. NORTON) 
introduced the following bill; which was referred to the Committee on 
Veterans’ Affairs 
A BILL 
To amend title 38, United States Code, to eliminate copay-
ments by the Department of Veterans Affairs for medi-
cines relating to preventive health services, 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 ‘‘Copay Fairness for 
Veterans Act’’. 
VerDate Sep 11 2014 
22:32 Mar 14, 2025
Jkt 059200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H1644.IH
H1644
ssavage on LAPJG3WLY3PROD with BILLS
SEC. 2. IMPROVEMENT TO PREVENTIVE HEALTH SERVICES 
FURNISHED BY DEPARTMENT OF VETERANS 
AFFAIRS. 
(a) ELIMINATION OF MEDICATION COPAYMENTS.— 
Section 1722A(a)(3) of title 38, United States Code, is 
amended— 
(1) in subparagraph (C), by striking ‘‘or’’; 
(2) in subparagraph (D), by striking the period 
at the end and inserting ‘‘; or’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(E) to medication that is or is part of a pre-
ventive health service.’’. 
(b) ELIMINATION OF HOSPITAL CARE AND MEDICAL 
SERVICES COPAYMENTS.—Section 1710 of such title is 
amended— 
(1) in subsection (f)— 
(A) by redesignating paragraph (5) as 
paragraph (6); and 
(B) by inserting after paragraph (4) the 
following new paragraph (5): 
‘‘(5) A veteran shall not be liable to the United States 
under this subsection for any amounts for preventive 
health services.’’; and 
(2) in subsection (g)(3), by adding at the end 
the following new subparagraph: 
VerDate Sep 11 2014 
22:32 Mar 14, 2025
Jkt 059200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H1644.IH
H1644
ssavage on LAPJG3WLY3PROD with BILLS
‘‘(C) Preventive health services.’’. 
(c) DEFINITION.—Section 1701(9) of such title is 
amended— 
(1) in subparagraph (K), by striking ‘‘; and’’ 
and inserting a semicolon; 
(2) by redesignating subparagraph (L) as sub-
paragraph (O); and 
(3) by inserting after subparagraph (K) the fol-
lowing new subparagraphs: 
‘‘(L) evidence-based items or services that have 
in effect a rating of ‘A’ or ‘B’ in the current rec-
ommendations of the United States Preventive Serv-
ices Task Force; 
‘‘(M) immunizations that have in effect a rec-
ommendation from the Advisory Committee on Im-
munization Practices of the Centers for Disease 
Control and Prevention with respect to the indi-
vidual involved; 
‘‘(N) with respect to services for women— 
‘‘(i) the preventive care, screenings, and 
contraceptives provided for in the Health Re-
sources and Services Administration Preventive 
Services Guidelines in effect as of December 30, 
2022; and 
VerDate Sep 11 2014 
22:32 Mar 14, 2025
Jkt 059200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H1644.IH
H1644
ssavage on LAPJG3WLY3PROD with BILLS
‘‘(ii) any contraceptive approved, granted, 
or cleared by the Food and Drug Administra-
tion, any related contraceptive care, and any re-
lated services; and’’. 
Æ 
VerDate Sep 11 2014 
22:32 Mar 14, 2025
Jkt 059200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6301
E:\BILLS\H1644.IH
H1644
ssavage on LAPJG3WLY3PROD with BILLS