Emergency Care for Veterans During COVID Act
Bill: H.R.584 | Sponsor: Rep. Pappas, Chris (D-NH)
Policy area: Armed Forces and National Security

Summary:
Emergency Care for Veterans During COVID Act
This bill requires the Department of Veterans Affairs (VA) to furnish veterans who are enrolled in the VA health care system with emergency treatment at non-VA facilities during the COVID-19 (i.e., coronavirus disease 2019) public health emergency. The VA may not require such veterans to seek authorization for such emergency treatment during this time. The bill also sets forth the payment rates and procedures for such emergency treatment.

To ensure that veterans receive timely and effective emergency 
    treatment during the COVID-19 emergency, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Emergency Care for Veterans During 
COVID Act''.

SEC. 2. EMERGENCY TREATMENT FOR VETERANS DURING COVID-19 EMERGENCY 
              PERIOD.

    (a) Emergency Treatment.--Notwithstanding section 1725 or 1728 of 
title 38, United States Code, or any other provision of law 
administered by the Secretary of Veterans Affairs pertaining to 
furnishing emergency treatment to veterans at non-Department 
facilities, during the period of a covered public health emergency, the 
Secretary of Veterans Affairs shall furnish to an eligible veteran 
emergency treatment at a non-Department facility in accordance with 
this section.
    (b) Authorization Not Required.--The Secretary may not require an 
eligible veteran to seek authorization by the Secretary for emergency 
treatment furnished to the veteran pursuant to subsection (a).
    (c) Payment Rates.--
            (1) Determination.--The rate paid for emergency treatment 
        furnished to eligible veterans pursuant to subsection (a) shall 
        be equal to the rate paid by the United States to a provider of 
        services (as defined in section 1861(u) of the Social Security 
        Act (42 U.S.C. 1395x(u))) or a supplier (as defined in section 
        1861(d) of such Act (42 U.S.C. 1395x(d))) under the Medicare 
        program under title XI or title XVIII of the Social Security 
        Act (42 U.S.C. 1301 et seq.), including section 1834 of such 
        Act (42 U.S.C. 1395m), for the same treatment.
            (2) Finality.--A payment in the amount payable under 
        paragraph (1) for emergency treatment furnished to an eligible 
        veteran pursuant to subsection (a) shall be considered payment 
        in full and shall extinguish the veteran's liability to the 
        provider of such treatment, unless the provider rejects the 
        payment and refunds to the United States such amount by not 
        later than 30 days after receiving the payment.
    (d) Claims Processed by Third-Party Administrators.--
            (1) Requirement.--Not later than 30 days after the date of 
        the enactment of this Act, the Secretary shall seek to award a 
        contract to one or more entities, or to modify an existing 
        contract, to process claims for payment for emergency treatment 
        furnished to eligible veterans pursuant to subsection (a).
            (2) Prompt payment standard.--Section 1703D of title 38, 
        United States Code, shall apply with respect to claims for 
        payment for emergency treatment furnished to eligible veterans 
        pursuant to subsection (a).
    (e) Primary Payer.--The Secretary shall be the primary payer with 
respect to emergency treatment furnished to eligible veterans pursuant 
to subsection (a), and with respect to the transportation of a veteran 
by ambulance. In any case in which an eligible veteran is furnished 
such emergency treatment for a non-service-connected disability 
described in subsection (a)(2) of section 1729 of title 38, United 
States Code, the Secretary shall recover or collect reasonable charges 
for such treatment from a health plan contract described in such 
section 1729 in accordance with such section.
    (f) Application.--This section shall apply to emergency treatment 
furnished to eligible veterans during the period of a covered public 
health emergency, regardless of whether the treatment was furnished 
before the date of the enactment of this Act.
    (g) Definitions.--In this section:
            (1) The term ``covered public health emergency'' means the 
        declaration--
                    (A) of a public health emergency, based on an 
                outbreak of COVID-19 by the Secretary of Health and 
                Human Services under section 319 of the Public Health 
                Service Act (42 U.S.C. 247d); or
                    (B) of a domestic emergency, based on an outbreak 
                of COVID-19 by the President, the Secretary of Homeland 
                Security, or a State or local authority.
            (2) The term ``eligible veteran'' means a veteran enrolled 
        in the health care system established under section 1705 of 
        title 38, United States Code.
            (3) The term ``emergency treatment'' means medical care or 
        services rendered in a medical emergency of such nature that a 
        prudent layperson reasonably expects that delay in seeking 
        immediate medical attention would be hazardous to life or 
        health.
            (4) The term ``non-Department facility'' has the meaning 
        given that term in section 1701 of title 38, United States 
        Code.
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