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SECTION 1. SHORT TITLE.

This Act may be cited as the ''Veterans Emergency Room Relief Act
of 2017''.

SEC. 2. COVERAGE OF URGENT CARE AND EMERGENCY ROOM TREATMENT OF
VETERANS BY THE DEPARTMENT OF VETERANS AFFAIRS.

(a) Payment of Reasonable Costs of Urgent Care.--
(1) In general.--Subchapter III of chapter 17 of title 38,
United States Code, is amended by inserting after section 1725
the following new section:
''Sec. 1725A. Payment of reasonable costs of urgent care
''(a) In General.--The Secretary shall enter into contracts with
urgent care providers under which the Secretary pays the urgent care
provider the reasonable costs of urgent care provided to eligible
veterans by the urgent care provider.
''(b) Eligible Veterans.--A veteran is an eligible veteran for
purposes of this section if the veteran--
''(1) is enrolled in the system of annual patient
enrollment established and operated under section 1705(a) of
this title; and
''(2) has received health care under this chapter during
the two-year period preceding the date on which the veteran
receives urgent care under this section.
''(c) Cost Sharing.--(1) Except as provided in paragraph (2), the
Secretary shall establish a cost-sharing amount that eligible veterans
shall pay to the Secretary to receive urgent care from an urgent care
provider under this section.
''(2) The cost-sharing amount established under paragraph (1) shall
not apply to an eligible veteran--
''(A) if the eligible veteran is admitted to a hospital for
treatment or observation after receiving urgent care under this
section; or
''(B) if the eligible veteran is receiving urgent care
under this section for the treatment of a service-connected
disability or condition.
''(d) Treatment of Department.--Notwithstanding the coverage of an
eligible veteran under a health-plan contract, the Secretary shall be
considered the primary payer for any urgent care provided to the
eligible veteran under this section.
''(e) Types of Providers.--The Secretary shall ensure that all
types of urgent care providers, including local urgent care providers,
have an opportunity to enter into a contract with the Secretary under
this section.
''(f) Definitions.--In this section:
''(1) The term 'health-plan contract' has the meaning given
that term in section 1725(f) of this title.
''(2) The term 'urgent care' has the meaning given that
term by the Secretary.
''(3) The term 'urgent care provider' means a health care
provider that provides urgent care at a non-Department
facility.''.
(2) Clerical amendment.--The table of sections at the
beginning of chapter 17 of such title is amended by inserting
after the item relating to section 1725 the following new item:

''1725A. Payment of reasonable costs of urgent care.''.
(3) Sense of congress.--It is the sense of Congress that
the Secretary of Veterans Affairs is encouraged to contract
with urgent care centers that are accredited by a nationally
recognized accrediting body or organization to carry out
section 1725A of title 38, United States Code, as added by
paragraph (1).
(b) Establishment of Cost-Sharing Amount for Veterans Receiving
Emergency Room Care From Department.--
(1) In general.--Except as provided in paragraph (2), the
Secretary of Veterans Affairs shall establish a cost-sharing
amount that veterans shall pay to the Secretary to receive care
at an emergency room of the Department of Veterans Affairs.
(2) Exception.--The cost-sharing amount established under
paragraph (1) shall not apply to a veteran if the veteran--
(A) receives care for a service-connected (as
defined in section 101 of title 38, United States Code)
disability or condition;
(B) meets a hardship exception established by the
Secretary for purposes of this subsection; or
(C) is admitted to a hospital for treatment or
observation after receiving care at an emergency room
of the Department.
(c) Limitation on Cost-Sharing Amounts.--The Secretary of Veterans
Affairs may not require a veteran to pay multiple cost-sharing amounts
if the veteran seeks urgent care under section 1725A of title 38,
United States Code, as added by subsection (a)(1), and care at an
emergency room of the Department of Veterans Affairs for the same
condition during a period determined by the Secretary for purposes of
this subsection.
(d) Report on Use by Veterans of Urgent and Emergency Room Care.--
Not later than two years after the date of the enactment of this Act,
and not less frequently than once every two years thereafter, the
Secretary of Veterans Affairs 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 use by veterans
eligible for health care under the laws administered by the Secretary
of--
(1) urgent care facilities; and
(2) emergency room facilities of the Department of Veterans
Affairs.
Output:
Veterans Emergency Room Relief Act of 2017 This bill directs the Department of Veterans Affairs (VA) to enter into contracts under which the VA pays health care providers the reasonable costs of urgent care provided to eligible veterans at non-VA facilities. An "eligible veteran" is one who: (1) is enrolled in the VA health care system, and (2) has received health care through the VA during the two years preceding the date on which the veteran receives urgent care. The VA shall establish a cost-sharing amount that a veteran shall pay to the VA to receive such urgent care. Such amount shall not apply to a veteran who: (1) is admitted to a hospital for treatment or observation after receiving urgent care, or (2) is receiving urgent care for the treatment of a service-connected disability or condition. The VA shall: (1) be considered the primary payer for the urgent care provided, and (2) ensure that all types of urgent care providers have an opportunity to enter into such a contract. The VA also shall establish a cost-sharing amount that veterans shall pay to receive care at a VA emergency room. Such amount shall not apply to a veteran who: (1) is receiving care for a service-connected disability or condition, (2) meets a hardship exception, or (3) is admitted to a hospital for treatment or observation after receiving care at a VA emergency room. The VA may not require a veteran to pay multiple cost-sharing amounts if the veteran seeks urgent care under this bill and care at a VA emergency room for the same condition during a period determined by the VA. The VA shall report every two years on the use by veterans of urgent care facilities and of VA emergency room facilities.